Individual provider Active NPI

Luron M Fleming, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1376172502
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
23835 Issued in SC
Practice address
712 Arlington Ave
Greenville, SC 29601-3206
Phone
(864) 275-4026
NPI assigned
Apr 8, 2020
Last updated
Apr 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 23835 SC Primary

Addresses

Primary practice location

712 Arlington Ave
Greenville, SC 29601-3206

Mailing address

712 Arlington Ave
Greenville, SC 29601-3206
Phone (864) 275-4026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201117002193 SC Practitioner - Nurse Practitioner 4880005180 Reassigns benefits to 1 organization
Practice locations: Greenville, SC

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Itrust Wellness GroupGroup PAC ID 0648532028, 18 clinicians

Practice addresses (Care Compare)

149 Commons Way
Greenville, SC 29611-3850
Phone (864) 520-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
23835SCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Itrust Wellness Group Psychiatric/Mental Health CurrentSince Sep 14, 2021 Accepting new patients
Itrust Cares LLC Psychiatric/Mental Health PastSince Sep 14, 2021 Accepting new patients

Locations

121 Commons Way
Greenville, SC 29611

149 Commons Way
Greenville, SC 29611

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1376172502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 ARLINGTON AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013206",
            "telephone_number": "864-275-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 ARLINGTON AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013206",
            "telephone_number": "864-275-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "LURON",
        "middle_name": "M",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "23835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.